■本研究旨在使用与先前在日本收集的在线调查数据相关的全国性索赔数据,描述头痛频率背景下的偏头痛负担和医疗保健利用情况。
■研究表明,头痛频率的增加会对个人的日常和社会功能产生更大的影响,但在日本,低频头痛患者的偏头痛负担在很大程度上仍然未知。
■这个事后,观察性研究报告了674名受访者,他们是19-74岁的工作个人及其家庭成员,回答了在线问卷(回答率:14.1%[21,704回答/153,545kencomú注册人]),以前被归类为偏头痛。比较了每月0-3、4-7、8-14和≥15个头痛日(MHD)的偏头痛特异性生活质量(MSQ)和工作生产力和活动障碍(WPAI)方面的疾病负担。
■在674名受访者中,419(62.2%),148(22.0%),61(9.1%),46例(6.8%)有0-3、4-7、8-14和≥15MHD,分别。其中,55(13.1%),31(20.9%),19(31.1%),20名(43.5%)受访者因头痛向医生咨询。298人报告了日常活动的中度至重度损害(71.1%),110(74.3%),46(75.4%),38名(82.6%)受访者。WPAI>0%的受访者比例通常随着头痛频率的增加而增加(在0-3和≥15MHD的受访者中,出现率:41.7和67.5%,总体工作减损分别为44.8%和72.5%,分别为:44.9%和73.9%,分别),除旷工外(12.4%和22.5%,分别)。平均MSQ评分随着MHD的增加而下降(角色功能限制性:在0-3和≥15MHD的患者中,75.1和59.5,分别;预防角色功能:分别为85.8和75.0;情绪功能:分别为81.9和63.6)。
■根据日本全国索赔数据,随着头痛天数的增加,生活质量和工作效率下降。大量的疾病负担加上低水平的医疗保健利用凸显了对医疗或非医疗干预的需求。
UNASSIGNED: This study aimed to describe the migraine burden and healthcare utilization in the context of headache frequency using nationwide claims data linked to online survey data previously collected in Japan.
UNASSIGNED: It has been shown that increase in headache frequency can impose greater impact on individuals\' daily and social functioning, but migraine burden in those with low-frequency headaches remains largely unknown in Japan.
UNASSIGNED: This post-hoc, observational study reported on 674 respondents who were working individuals and their family members aged 19-74 years, responded to an online questionnaire (response rate: 14.1% [21,704 responded/153,545 kencomⓇ registrants]), and were previously classified as having migraine. Disease burden in terms of Migraine-Specific Quality of Life (MSQ) and Work Productivity and Activity Impairment (WPAI) was compared across 0-3, 4-7, 8-14, and ≥ 15 monthly headache days (MHD).
UNASSIGNED: Among 674 respondents, 419 (62.2%), 148 (22.0%), 61 (9.1%), and 46 (6.8%) had 0-3, 4-7, 8-14, and ≥ 15 MHD, respectively. Of those, 55 (13.1%), 31 (20.9%), 19 (31.1%), and 20 (43.5%) respondents consulted physicians for headaches. Moderate-to-severe impairments in daily activities were reported by 298 (71.1%), 110 (74.3%), 46 (75.4%), and 38 (82.6%) respondents. The proportion of the respondents with WPAI >0% generally increased with increasing headache frequency (presenteeism: 41.7 and 67.5% in respondents with 0-3 and ≥ 15 MHD, respectively; overall work impairment: 44.8 and 72.5%, respectively; and activity impairment: 44.9 and 73.9%, respectively), except for absenteeism (12.4 and 22.5%, respectively). The mean MSQ score declined with increasing MHD (Role function-restrictive: 75.1 and 59.5 in those with 0-3 and ≥ 15 MHD, respectively; Role function-preventive: 85.8 and 75.0, respectively; and Emotional function: 81.9 and 63.6, respectively).
UNASSIGNED: Based on the Japanese nationwide claims data, quality of life and work productivity decreased with increasing numbers of headache days. Substantial disease burden paired with low levels of healthcare utilization highlights the need for medical or non-medical intervention.